Dr Lee has been a practising doctor for over twenty years. He worked in the UK as an obstetrician & gynecologist and was sub-specialty trained in urogynecology and pelvic floor reconstructive surgery. Besides classical music, he enjoys travelling and photography.

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Dr James W S Lee
MBBS(Singapore) MRCOG(London) FAMS(Obstetrics & Gynecologist)
Subspecialty Trained in Urogynecology, Pelvic Floor Reconstructive Surgery(London)
Singapore - Obstetrician - Gynecologist - Urogynecologist
#11-07, Mount Elizabeth Medical Centre, Singapore
Tel: 62585530 Fax: 62589030 Email: jameslee@jlgyne.com

Gynecologist & Obstetrician (OBGYN)

Ovarian Endometriotic Cysts

Fast growing chocolate ovarian cysts

Endometriosis occurs in about 15% of women. Women typically complain of pain during menstruation, deep pelvic pain or pain during sexual intercourse. When the symptoms are bothersome, many women will be found to have ovarian endometriotic cyst, either on one or both sides. On the other hand, some will not show any abnormal findings during the pelvic ultrasound. Being told to be "normal", many will be treated with pain killers and gradually drop out of surveillance.

What is not known is when and how quickly will an ovarian endometriotic cyst form? The growth rate of the cyst is very variable. Often, it is thought to be gradual. A recent Swedish report documented that over a five months, a woman who had no lesion at the start, developed two large endometriomata, one on each side, measuring sixteen and ten centimeters. Arising from the compression of the cysts, her kidney funtions became impaired (Gynecol Endocrinol 2011 Apr)

These reports highlighted the need for regular examination to assess the rate of cyst enlargement. Ignoring an expanding cyst will only court unnecessary suffering.

Menorrhagia is the term used to describe regular heavy menstrual bleeding. It affects about 5-10% of women every year and it may be due to anatomical problem or hormonal problem. Medical treatment has been the mainstay when there is a hormonal dysfunction; but their effectiveness is often short-lived. What have been found to be very useful are the techniques of stripping the womb lining (endometrium) and the insertion of a progestogen-impregnated intra-uterine device (the Mirena IUS). Since the 1990s, these two strategies have significantly reduce the need to remove the womb in women who suffer from excessive menstrual bleed.

Common Terms in Obstetrics & Gynecology (Explanation)

Abnormal menstrual bleeding
Amenorrhoea (absent periods)
Bladder prolapse (cystotocoele)
Birth Control Pill
Cervical Cancer
Endometrial polyp
Female Cancers
Fibroids of the uterus
Genital warts
HPV infection
Ovarian Cysts
Ovarian Cancer
Overactive bladder
Pap Smear
Pelvic inflammatory disease
Pelvic floor exercises
Pelvic organ prolapse
Urinary tract infection
Urinary incontinence
Uterine cancer
Uterus prolapse (hysterocoele)
Vaginal discharge
Vault prolapse